Aesthetic Plastic Surgery

, Volume 28, Issue 2, pp 75–79 | Cite as

Mammary Compliance: An Objective Measurement of Capsular Contracture

Article

Abstract

Capsular contracture is the most unpredictable complication after mammary augmentation. It presents an uncertain evolution, and is one of the most difficulty complications to treat. Evaluation of this condition usually was relegated to the surgeon’s judgment, but currently there are three methods for measuring capsular contracture: palpation, applanation tonometry, and measure of mammary compliance. A prospective study was conducted to evaluate the different methods for managing capsular contracture. Particular attention was paid to the measure mammary compliance with a new device: the Anton Paar Mammacompliance system. This study found a good match between clinical and objective measurements, and also between the measure of applanation tonometry and the measure of mammary compliance. The Anton Paar Mammacompliance system seems to be effective in eliminating the descriptive part and keeping to the measurements and objective data. It is easily reproducible in the various check ups. It permits objective assessment for the measure of capsular contracture.

Keywords

Capsular contracture Baker’s classification Applanation tonometry Mammary compliance 

References

  1. 1.
    Alfano, C, Costantini, M, Mazzocchi, M 1999Clinical examination and follow-up of mammary implantsEur Plast, Surg Rev448Google Scholar
  2. 2.
    Baker JL: Classification of spherical contractures. Read at the Aesthetic Breast Symposium, Scottsdale, ArizonaGoogle Scholar
  3. 3.
    Baker, JL 1978Augmentation mammoplastyOwsley, JQPeterson, R eds. Symposium on aesthetic surgery of the breastMosbySt Louis125152Google Scholar
  4. 4.
    Burkhardt, B.R, Schhnur, PL, Tofield, JJ, Dempsey, PD 1982An objective clinical assessment of fibrosus capsular contracturePlast Reconstr Surg69794799PubMedGoogle Scholar
  5. 5.
    Codner, MA, Cohen, AT, Hester, TR 2001Complication in breast augmentation: prevention and correctionClin Plast Surg28587596PubMedGoogle Scholar
  6. 6.
    Eisenmann-Klein, M 1999Breast implants: the past, the present, the futureEur. Plast Surg Rev33343Google Scholar
  7. 7.
    Gylbert, LO 1989Applanation tonometry for the evaluation of breast compressibilityScand J Plast Reconstr Surg Hand Surg23223229PubMedGoogle Scholar
  8. 8.
    Gylbert, LO 1989Constant compression caliper for objective measurement of breast capsular contractureScand J Plast Reconstr Surg Hand Surg23137142PubMedGoogle Scholar
  9. 9.
    Hayes, H,Jr, McLeod, P 1979Indentation tonometry of the breastsPlast Reconstr Surg631321PubMedGoogle Scholar
  10. 10.
    Hoflehner, H, Pierer, G 1994Subjective and objective assessment of capsular contractureEur J Plast Surg176974Google Scholar
  11. 11.
    Hoflehner, H., Pierer, G., Rehak, P 1993Mammary compliance, an objective technique for measuring capsular fibrosisPlast Reconstr Surg8010781084Google Scholar
  12. 12.
    Moore, JR 1979Applanation tonometry of breastsPlast Reconstr Surg63912PubMedGoogle Scholar
  13. 13.
    Mulder, JW, Nicolai, JPA 1990Breast tonometry: a practical device for accurate measurement of capsule formationEur J Plast Surg13274282Google Scholar
  14. 14.
    Rehak, PH, Glanzer, H 1994“Mammary compliance transmitter,” a novel instrument for the objective measurement of the degree of capsular fibrosis following breast prosthesis implantationPhy Med Biol39a574581Google Scholar

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • Carmine Alfano
    • 1
  • Marco Mazzocchi
    • 1
    • 2
  • Nicolò Scuderi
    • 1
  1. 1.Department of Plastic and Reconstructive SurgeryUniversity of Rome “La Sapienza,”RomeItaly
  2. 2.Via Portuense 331RomaItaly

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